Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF

Professional

Both

$2,074.00

Service Code	HCPCS 36831
Min. Negotiated Rate	$386.38
Max. Negotiated Rate	$1,521.50
Rate for Payer: Aetna Commercial	$824.83
Rate for Payer: BCBS Complete	$405.70
Rate for Payer: BCBS Trust/PPO	$1,521.50
Rate for Payer: Cash Price	$1,659.20
Rate for Payer: Cash Price	$1,659.20
Rate for Payer: Mclaren Medicaid	$386.38
Rate for Payer: Meridian Medicaid	$405.70
Rate for Payer: Priority Health Choice Medicaid	$386.38
Rate for Payer: Priority Health Cigna Priority Health	$1,451.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$960.18
Rate for Payer: Priority Health Narrow Network	$960.18
Rate for Payer: Priority Health SBD	$960.18

PR THROMBECTOMY,ARTERIOVENOUS FISTULA

Professional

Both

$1,873.00

Service Code	HCPCS 36870
Min. Negotiated Rate	$749.20
Max. Negotiated Rate	$1,311.10
Rate for Payer: BCBS Complete	$749.20
Rate for Payer: Cash Price	$1,498.40
Rate for Payer: Priority Health Cigna Priority Health	$1,311.10

PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX

Professional

Both

$610.00

Service Code	HCPCS 37211
Min. Negotiated Rate	$240.26
Max. Negotiated Rate	$1,423.24
Rate for Payer: Aetna Commercial	$517.91
Rate for Payer: BCBS Complete	$252.27
Rate for Payer: BCBS Trust/PPO	$1,423.24
Rate for Payer: Cash Price	$488.00
Rate for Payer: Cash Price	$488.00
Rate for Payer: Mclaren Medicaid	$240.26
Rate for Payer: Meridian Medicaid	$252.27
Rate for Payer: Priority Health Choice Medicaid	$240.26
Rate for Payer: Priority Health Cigna Priority Health	$427.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$597.92
Rate for Payer: Priority Health Narrow Network	$597.92
Rate for Payer: Priority Health SBD	$597.92

PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX

Professional

Both

$1,070.00

Service Code	HCPCS 37213
Min. Negotiated Rate	$143.14
Max. Negotiated Rate	$749.00
Rate for Payer: Aetna Commercial	$311.52
Rate for Payer: BCBS Complete	$150.30
Rate for Payer: BCBS Trust/PPO	$399.45
Rate for Payer: Cash Price	$856.00
Rate for Payer: Cash Price	$856.00
Rate for Payer: Mclaren Medicaid	$143.14
Rate for Payer: Meridian Medicaid	$150.30
Rate for Payer: Priority Health Choice Medicaid	$143.14
Rate for Payer: Priority Health Cigna Priority Health	$749.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$357.47
Rate for Payer: Priority Health Narrow Network	$357.47
Rate for Payer: Priority Health SBD	$357.47

PR THROMBOLYSIS CEREBRAL IV INFUSION

Professional

Both

$1,381.00

Service Code	HCPCS 37195
Min. Negotiated Rate	$241.57
Max. Negotiated Rate	$1,330.43
Rate for Payer: Aetna Commercial	$1,244.65
Rate for Payer: BCBS Complete	$253.65
Rate for Payer: BCBS Trust/PPO	$789.81
Rate for Payer: Cash Price	$1,104.80
Rate for Payer: Cash Price	$1,104.80
Rate for Payer: Mclaren Medicaid	$241.57
Rate for Payer: Meridian Medicaid	$253.65
Rate for Payer: Priority Health Choice Medicaid	$241.57
Rate for Payer: Priority Health Cigna Priority Health	$966.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,330.43
Rate for Payer: Priority Health Narrow Network	$1,330.43
Rate for Payer: Priority Health SBD	$1,330.43

PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION

Professional

Both

$625.00

Service Code	HCPCS 92977
Min. Negotiated Rate	$68.22
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$68.22
Rate for Payer: BCBS Complete	$250.00
Rate for Payer: BCBS Trust/PPO	$294.26
Rate for Payer: Cash Price	$500.00
Rate for Payer: Cash Price	$500.00
Rate for Payer: Priority Health Cigna Priority Health	$437.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$74.71
Rate for Payer: Priority Health Narrow Network	$74.71
Rate for Payer: Priority Health SBD	$74.71

PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH

Professional

Both

$777.00

Service Code	HCPCS 92975
Min. Negotiated Rate	$233.87
Max. Negotiated Rate	$543.90
Rate for Payer: Aetna Commercial	$505.09
Rate for Payer: BCBS Complete	$245.56
Rate for Payer: BCBS Trust/PPO	$392.00
Rate for Payer: Cash Price	$621.60
Rate for Payer: Cash Price	$621.60
Rate for Payer: Mclaren Medicaid	$233.87
Rate for Payer: Meridian Medicaid	$245.56
Rate for Payer: Priority Health Choice Medicaid	$233.87
Rate for Payer: Priority Health Cigna Priority Health	$543.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$517.78
Rate for Payer: Priority Health Narrow Network	$517.78
Rate for Payer: Priority Health SBD	$517.78

PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX

Professional

Both

$1,579.00

Service Code	HCPCS 37212
Min. Negotiated Rate	$209.38
Max. Negotiated Rate	$1,739.86
Rate for Payer: Aetna Commercial	$452.62
Rate for Payer: BCBS Complete	$219.85
Rate for Payer: BCBS Trust/PPO	$1,739.86
Rate for Payer: Cash Price	$1,263.20
Rate for Payer: Cash Price	$1,263.20
Rate for Payer: Mclaren Medicaid	$209.38
Rate for Payer: Meridian Medicaid	$219.85
Rate for Payer: Priority Health Choice Medicaid	$209.38
Rate for Payer: Priority Health Cigna Priority Health	$1,105.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$522.91
Rate for Payer: Priority Health Narrow Network	$522.91
Rate for Payer: Priority Health SBD	$522.91

PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC

Professional

Both

$3,635.00

Service Code	HCPCS 32659
Min. Negotiated Rate	$465.19
Max. Negotiated Rate	$2,544.50
Rate for Payer: Aetna Commercial	$942.23
Rate for Payer: BCBS Complete	$488.45
Rate for Payer: BCBS Trust/PPO	$1,271.62
Rate for Payer: Cash Price	$2,908.00
Rate for Payer: Cash Price	$2,908.00
Rate for Payer: Mclaren Medicaid	$465.19
Rate for Payer: Meridian Medicaid	$488.45
Rate for Payer: Priority Health Choice Medicaid	$465.19
Rate for Payer: Priority Health Cigna Priority Health	$2,544.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,003.42
Rate for Payer: Priority Health Narrow Network	$1,003.42
Rate for Payer: Priority Health SBD	$1,003.42

PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS

Professional

Both

$4,372.00

Service Code	HCPCS 32652
Min. Negotiated Rate	$1,005.88
Max. Negotiated Rate	$3,060.40
Rate for Payer: Aetna Commercial	$2,144.89
Rate for Payer: BCBS Complete	$1,098.79
Rate for Payer: BCBS Trust/PPO	$1,005.88
Rate for Payer: Cash Price	$3,497.60
Rate for Payer: Cash Price	$3,497.60
Rate for Payer: Mclaren Medicaid	$1,046.47
Rate for Payer: Meridian Medicaid	$1,098.79
Rate for Payer: Priority Health Choice Medicaid	$1,046.47
Rate for Payer: Priority Health Cigna Priority Health	$3,060.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,264.75
Rate for Payer: Priority Health Narrow Network	$2,264.75
Rate for Payer: Priority Health SBD	$2,264.75

PR THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX

Professional

Both

$2,509.00

Service Code	HCPCS 60522
Min. Negotiated Rate	$603.85
Max. Negotiated Rate	$1,906.30
Rate for Payer: Aetna Commercial	$1,766.25
Rate for Payer: BCBS Complete	$904.89
Rate for Payer: BCBS Trust/PPO	$603.85
Rate for Payer: Cash Price	$2,007.20
Rate for Payer: Cash Price	$2,007.20
Rate for Payer: Mclaren Medicaid	$861.80
Rate for Payer: Meridian Medicaid	$904.89
Rate for Payer: Priority Health Choice Medicaid	$861.80
Rate for Payer: Priority Health Cigna Priority Health	$1,756.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,906.30
Rate for Payer: Priority Health Narrow Network	$1,906.30
Rate for Payer: Priority Health SBD	$1,906.30

PR THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX

Professional

Both

$3,462.00

Service Code	HCPCS 60520
Min. Negotiated Rate	$250.94
Max. Negotiated Rate	$2,423.40
Rate for Payer: Aetna Commercial	$1,354.31
Rate for Payer: BCBS Complete	$704.95
Rate for Payer: BCBS Trust/PPO	$250.94
Rate for Payer: Cash Price	$2,769.60
Rate for Payer: Cash Price	$2,769.60
Rate for Payer: Mclaren Medicaid	$671.38
Rate for Payer: Meridian Medicaid	$704.95
Rate for Payer: Priority Health Choice Medicaid	$671.38
Rate for Payer: Priority Health Cigna Priority Health	$2,423.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,482.82
Rate for Payer: Priority Health Narrow Network	$1,482.82
Rate for Payer: Priority Health SBD	$1,482.82

PR THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX

Professional

Both

$3,870.00

Service Code	HCPCS 60521
Min. Negotiated Rate	$373.51
Max. Negotiated Rate	$2,709.00
Rate for Payer: Aetna Commercial	$1,448.43
Rate for Payer: BCBS Complete	$747.66
Rate for Payer: BCBS Trust/PPO	$373.51
Rate for Payer: Cash Price	$3,096.00
Rate for Payer: Cash Price	$3,096.00
Rate for Payer: Mclaren Medicaid	$712.06
Rate for Payer: Meridian Medicaid	$747.66
Rate for Payer: Priority Health Choice Medicaid	$712.06
Rate for Payer: Priority Health Cigna Priority Health	$2,709.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,573.67
Rate for Payer: Priority Health Narrow Network	$1,573.67
Rate for Payer: Priority Health SBD	$1,573.67

PR THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL

Professional

Both

$3,128.00

Service Code	HCPCS 60260
Min. Negotiated Rate	$317.51
Max. Negotiated Rate	$2,189.60
Rate for Payer: Aetna Commercial	$1,402.16
Rate for Payer: BCBS Complete	$731.12
Rate for Payer: BCBS Trust/PPO	$317.51
Rate for Payer: Cash Price	$2,502.40
Rate for Payer: Cash Price	$2,502.40
Rate for Payer: Mclaren Medicaid	$696.30
Rate for Payer: Meridian Medicaid	$731.12
Rate for Payer: Priority Health Choice Medicaid	$696.30
Rate for Payer: Priority Health Cigna Priority Health	$2,189.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,540.56
Rate for Payer: Priority Health Narrow Network	$1,540.56
Rate for Payer: Priority Health SBD	$1,540.56

PR THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH

Professional

Both

$2,143.36

Service Code	HCPCS 60271
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$3,645.80
Rate for Payer: Aetna Commercial	$1,358.54
Rate for Payer: BCBS Complete	$708.75
Rate for Payer: BCBS Trust/PPO	$3,645.80
Rate for Payer: Cash Price	$1,714.69
Rate for Payer: Cash Price	$1,714.69
Rate for Payer: Mclaren Medicaid	$675.00
Rate for Payer: Meridian Medicaid	$708.75
Rate for Payer: Priority Health Choice Medicaid	$675.00
Rate for Payer: Priority Health Cigna Priority Health	$1,500.35
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,493.24
Rate for Payer: Priority Health Narrow Network	$1,493.24
Rate for Payer: Priority Health SBD	$1,493.24

PR THYROIDECTOMY TOTAL/COMPLETE

Professional

Both

$3,049.00

Service Code	HCPCS 60240
Min. Negotiated Rate	$587.67
Max. Negotiated Rate	$2,134.30
Rate for Payer: Aetna Commercial	$1,181.69
Rate for Payer: BCBS Complete	$617.05
Rate for Payer: BCBS Trust/PPO	$681.51
Rate for Payer: Cash Price	$2,439.20
Rate for Payer: Cash Price	$2,439.20
Rate for Payer: Mclaren Medicaid	$587.67
Rate for Payer: Meridian Medicaid	$617.05
Rate for Payer: Priority Health Choice Medicaid	$587.67
Rate for Payer: Priority Health Cigna Priority Health	$2,134.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,299.25
Rate for Payer: Priority Health Narrow Network	$1,299.25
Rate for Payer: Priority Health SBD	$1,299.25

PR THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT

Professional

Both

$2,350.00

Service Code	HCPCS 60252
Min. Negotiated Rate	$785.58
Max. Negotiated Rate	$1,869.38
Rate for Payer: Aetna Commercial	$1,701.55
Rate for Payer: BCBS Complete	$886.55
Rate for Payer: BCBS Trust/PPO	$785.58
Rate for Payer: Cash Price	$1,880.00
Rate for Payer: Cash Price	$1,880.00
Rate for Payer: Mclaren Medicaid	$844.33
Rate for Payer: Meridian Medicaid	$886.55
Rate for Payer: Priority Health Choice Medicaid	$844.33
Rate for Payer: Priority Health Cigna Priority Health	$1,645.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,869.38
Rate for Payer: Priority Health Narrow Network	$1,869.38
Rate for Payer: Priority Health SBD	$1,869.38

PR THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT

Professional

Both

$3,099.00

Service Code	HCPCS 60254
Min. Negotiated Rate	$225.06
Max. Negotiated Rate	$2,360.98
Rate for Payer: Aetna Commercial	$2,140.95
Rate for Payer: BCBS Complete	$1,118.47
Rate for Payer: BCBS Trust/PPO	$225.06
Rate for Payer: Cash Price	$2,479.20
Rate for Payer: Cash Price	$2,479.20
Rate for Payer: Mclaren Medicaid	$1,065.21
Rate for Payer: Meridian Medicaid	$1,118.47
Rate for Payer: Priority Health Choice Medicaid	$1,065.21
Rate for Payer: Priority Health Cigna Priority Health	$2,169.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,360.98
Rate for Payer: Priority Health Narrow Network	$2,360.98
Rate for Payer: Priority Health SBD	$2,360.98

PR THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC

Professional

Both

$5,346.00

Service Code	HCPCS 60270
Min. Negotiated Rate	$309.58
Max. Negotiated Rate	$3,742.20
Rate for Payer: Aetna Commercial	$1,762.15
Rate for Payer: BCBS Complete	$914.28
Rate for Payer: BCBS Trust/PPO	$309.58
Rate for Payer: Cash Price	$4,276.80
Rate for Payer: Cash Price	$4,276.80
Rate for Payer: Mclaren Medicaid	$870.74
Rate for Payer: Meridian Medicaid	$914.28
Rate for Payer: Priority Health Choice Medicaid	$870.74
Rate for Payer: Priority Health Cigna Priority Health	$3,742.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,928.05
Rate for Payer: Priority Health Narrow Network	$1,928.05
Rate for Payer: Priority Health SBD	$1,928.05

PR TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION

Professional

Both

$2,400.00

Service Code	HCPCS 19357
Min. Negotiated Rate	$33.96
Max. Negotiated Rate	$1,680.00
Rate for Payer: Aetna Commercial	$1,253.56
Rate for Payer: BCBS Complete	$780.76
Rate for Payer: BCBS Trust/PPO	$33.96
Rate for Payer: Cash Price	$1,920.00
Rate for Payer: Cash Price	$1,920.00
Rate for Payer: Mclaren Medicaid	$743.58
Rate for Payer: Meridian Medicaid	$780.76
Rate for Payer: Priority Health Choice Medicaid	$743.58
Rate for Payer: Priority Health Cigna Priority Health	$1,680.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,427.12
Rate for Payer: Priority Health Narrow Network	$1,427.12
Rate for Payer: Priority Health SBD	$1,427.12

PR TIXAGEV AND CILGAV INJ - ADMIN

Professional

Both

$200.00

Service Code	HCPCS M0220
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$2,507.84
Rate for Payer: Aetna Commercial	$150.50
Rate for Payer: BCBS Complete	$80.00
Rate for Payer: BCBS Trust/PPO	$2,507.84
Rate for Payer: Cash Price	$160.00
Rate for Payer: Cash Price	$160.00
Rate for Payer: Priority Health Cigna Priority Health	$140.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$144.93
Rate for Payer: Priority Health Narrow Network	$144.93
Rate for Payer: Priority Health SBD	$144.93

PR TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP

Professional

Both

$3,534.00

Service Code	HCPCS 69637
Min. Negotiated Rate	$899.07
Max. Negotiated Rate	$2,473.80
Rate for Payer: Aetna Commercial	$1,624.04
Rate for Payer: BCBS Complete	$944.02
Rate for Payer: BCBS Trust/PPO	$2,372.93
Rate for Payer: Cash Price	$2,827.20
Rate for Payer: Cash Price	$2,827.20
Rate for Payer: Mclaren Medicaid	$899.07
Rate for Payer: Meridian Medicaid	$944.02
Rate for Payer: Priority Health Choice Medicaid	$899.07
Rate for Payer: Priority Health Cigna Priority Health	$2,473.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,999.94
Rate for Payer: Priority Health Narrow Network	$1,999.94
Rate for Payer: Priority Health SBD	$1,999.94

PR TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR

Professional

Both

$4,225.00

Service Code	HCPCS 69644
Min. Negotiated Rate	$964.89
Max. Negotiated Rate	$2,957.50
Rate for Payer: Aetna Commercial	$1,699.51
Rate for Payer: BCBS Complete	$1,013.13
Rate for Payer: BCBS Trust/PPO	$2,406.93
Rate for Payer: Cash Price	$3,380.00
Rate for Payer: Cash Price	$3,380.00
Rate for Payer: Mclaren Medicaid	$964.89
Rate for Payer: Meridian Medicaid	$1,013.13
Rate for Payer: Priority Health Choice Medicaid	$964.89
Rate for Payer: Priority Health Cigna Priority Health	$2,957.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,147.97
Rate for Payer: Priority Health Narrow Network	$2,147.97
Rate for Payer: Priority Health SBD	$2,147.97

PR TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR

Professional

Both

$3,996.00

Service Code	HCPCS 69643
Min. Negotiated Rate	$785.12
Max. Negotiated Rate	$2,797.20
Rate for Payer: Aetna Commercial	$1,396.70
Rate for Payer: BCBS Complete	$824.38
Rate for Payer: BCBS Trust/PPO	$2,123.77
Rate for Payer: Cash Price	$3,196.80
Rate for Payer: Cash Price	$3,196.80
Rate for Payer: Mclaren Medicaid	$785.12
Rate for Payer: Meridian Medicaid	$824.38
Rate for Payer: Priority Health Choice Medicaid	$785.12
Rate for Payer: Priority Health Cigna Priority Health	$2,797.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,744.88
Rate for Payer: Priority Health Narrow Network	$1,744.88
Rate for Payer: Priority Health SBD	$1,744.88

PR TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ

Professional

Both

$3,854.00

Service Code	HCPCS 69641
Min. Negotiated Rate	$669.46
Max. Negotiated Rate	$2,697.80
Rate for Payer: Aetna Commercial	$1,185.92
Rate for Payer: BCBS Complete	$702.93
Rate for Payer: BCBS Trust/PPO	$1,242.56
Rate for Payer: Cash Price	$3,083.20
Rate for Payer: Cash Price	$3,083.20
Rate for Payer: Mclaren Medicaid	$669.46
Rate for Payer: Meridian Medicaid	$702.93
Rate for Payer: Priority Health Choice Medicaid	$669.46
Rate for Payer: Priority Health Cigna Priority Health	$2,697.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,486.98
Rate for Payer: Priority Health Narrow Network	$1,486.98
Rate for Payer: Priority Health SBD	$1,486.98

Know your out-of-pocket cost for care.

All Charges